Online Couples Therapy For The Fight Underneath The Fights
Most couples have one real argument that wears a hundred costumes. Octave offers online couples therapy and marriage counseling with licensed therapists trained in couples care, matched to you in 1 to 3 days, joining together from wherever you each are.
1,200+
Therapists
In-network
with major carriers
3,400+
Licensed Therapists
$28
Typical Out-Of-Pocket Per Session, In Network
1 to 8
Days To A First Appointment
We Work With Major Carriers
Clients only pay $28 per session, on average. How is this possible? Octave works with you and your insurance provider to secure the best coverage for therapy and make high-quality care accessible.Insurance Coverage
Save time and money
Know the cost of therapy before you start. Discover how much your insurance will cover for therapy with Octave. Simply select your state and insurance provider to see any out-of-pocket costs.

How it works
4 steps to start therapy
Step 01
Answer a few questions
Tell us a little about yourself and what you're looking for. You'll get an idea of your cost (if any) after answering.
Step 02
Find the right therapist
Browse licensed Octave therapists or work 1:1 with our team to find a match for your needs and schedule.
Step 03
Start therapy
Schedule your sessions and build a care plan with your therapist that measures progress.
Step 04
See results
Care is grounded in measurable outcomes, with tailored techniques to support real improvement in anxiety, depression, and other concerns.
Specializations
Care for the things that bring people to therapy.
Our experts can treat a wide variety of issues:
Audience segments
Therapy for the shape your life is in.
Online Therapy
Licensed therapists by video, from wherever you actually are.
Online Individual Therapy
One-on-one sessions focused entirely on what you're working through.
Online Family Therapy
Work through conflict, communication, and old roles as a family.
Online Couples Therapy
Couples therapy and marriage counseling with licensed therapists trained in couples care.
In-Person Therapy
Some work goes deeper in the same room.
Therapy approaches
Therapy for what works for you.
We match you with a therapist whose approach fits the work you want to do.
CBT
Cognitive Behavioral Therapy
Retrain the thoughts and habits that keep anxiety and low mood going.
DBT
Dialectical Behavior Therapy
Develop skills for intense emotions, impulsivity, and relationships.
EFT
Emotion-Focused Therapy
An evidence-based approach for depression, relationship distress, and grief.
Grief Counseling
GRIEF & LOSS SUPPORT
Dedicated space to process a loss with someone who knows the terrain.
Psychodynamic
Insight-Oriented Therapy
Online psychodynamic therapy with licensed therapists. Depth-oriented work on the patterns underneath the symptoms.
Provider credentialing section
Less than 4% of therapists who apply join the Octave network.
Every clinician is independently licensed, masters- or doctorate-trained, and reviewed for clinical fit before they see a single client.
3,400+
Therapists in network
Independently licensed across all 50 states
100%
License verified
Active state licensure confirmed quarterly with the issuing board
3.8%
Acceptance rate
Clinicians pass a multi-stage interview, case review, and reference check
10 yrs
Average experience
Median post-licensure clinical practice in the network
Comparison table
Therapy that fits into your life
It shouldn’t be the other way around, and that’s why we do what others don’t.
First session wait
Within 1-8 days
3-6 weeks
Insurance verified upfront
Yes- before first session
Often after-the-fact
Average out-of-pocket
$25-$60
$120-$250
Evening & weekend availability
Standard
Limited
Re-matching if it’s not a fit
Free, anytime
Start the search over
Care coordination
Dedicated coordinator
Self-managed
Outcomes and clinical evidence
A clearer alternative to the typical referral grind.
94%
report meaningful improvement within 12 sessions
Octave outcomes report, 2024 (n=18,400)
71%
show clinical reduction in PHQ-9 depression scores
Octave outcomes report, 2024 (n=18,400)
82%
remain in care at 6 months — well above industry average
Octave outcomes report, 2024 (n=18,400)
Published research
Andersson, G., et al. (2019).
Internet-delivered psychological treatments: from innovation to implementation.
World Psychiatry, 18(1), 20–28.
Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012).
The efficacy of cognitive behavioral therapy: A review of meta-analyses.
Cognitive Therapy and Research, 36(5), 427–440.
Lambert, M. J. (2017).
Maximizing psychotherapy outcome beyond evidence-based medicine.
Psychotherapy and Psychosomatics, 86(2), 80–89.
Smith, J., et al. (2021).
Digital mental health interventions: bridging the gap between research and practice.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Frequently Asked Questions
Most couples wait years longer than they should. Here's what couples therapy involves, what it costs, and what to do if your partner isn't sold yet.
Yes. Marriage counseling, couples therapy, couples counseling, and relationship counseling are different names for the same work: a licensed therapist helping two partners understand and change the patterns between them. You do not need to be married, engaged, or in crisis to come; you need a relationship you want to work on.
Coverage for couples therapy varies by plan, and you can check your cost before booking with the cost estimator, so there is no surprise after your first session.
Mostly yes; couples therapy is primarily joint sessions, and online you can join from the same couch or different locations entirely. Many therapists also hold an individual check-in with each partner early on, which is standard practice, not a warning sign.
Common, and workable. Reluctance usually means fear of being ganged up on or blamed, and a good couples therapist structures sessions so neither partner is the defendant: the pattern between you is the client, not either person. Some couples start with one willing partner in individual therapy, and the door stays open.
Earlier than most do. The average couple waits years past the first signs, and the pattern calcifies while they wait. Recurring fights that never resolve, distance that keeps growing, trust that took a hit, a big decision you cannot make together, or a good relationship you want to keep good: all of these are the right time. Premarital counseling counts too.
Yes. Studies of video-delivered couples therapy show outcomes comparable to in-person care, and the format solves couples therapy’s oldest logistical problem: getting two busy people into one room at one time. Evening and weekend slots, no commute, and travel or distance no longer cancel the session.

More On Couples Therapy
What Online Couples Therapy At Octave Looks Like
Couples therapy is structured work on the relationship itself, guided by a licensed therapist trained specifically in couples care. At Octave it happens over secure video, with both partners joining from wherever they are, matched to your therapist in 1 to 3 days. Married, unmarried, engaged, long-distance, considering separation, or simply stuck: the format is the same, and the work meets the relationship where it is.
The cycle is the client
Most couples arrive believing the problem is the topic: money, sex, in-laws, chores, phones. Underneath, there is usually one repeating cycle: one partner pushes to be heard, the other pulls away to keep the peace, and each response confirms the other’s fear. Evidence-based couples work, including emotion-focused therapy, targets that cycle directly: seeing it, naming it, and interrupting it until the conversation underneath the fights can finally happen.
What sessions look like
Sessions are mostly joint, with early individual check-ins as standard practice. The therapist’s job is structure: keeping the conversation out of the well-worn ruts, making sure both partners leave having been heard, and sending you home with something to practice, because the relationship changes between sessions, not just during them.
Coming early, coming late, coming anyway
Couples tend to arrive years after the first signs, and therapy still works then; it simply has more rubble to move. Coming early is easier, and coming for maintenance (premarital work, a strong relationship under new strain from a move, a baby, an illness) is not overreacting; it is what the sturdiest couples do. If you are asking whether it is time, it is time.
Starting this week, together
Answer a few questions (together or separately), weigh in on your matches, and hold your first session within about a week, from the same couch or two different cities. One hour a week for the relationship costs less than the fights do.
Search For a Couples Therapist in Your State
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If you need help right now
Crisis resources.
988 Suicide & Crisis Lifeline
24/7, free, confidential — call or text
Crisis Text Line
Text HOME — 24/7 trained counselors
National DV Hotline
24/7 confidential support
Veterans Crisis Line
Press 1 after dialing 988
SAMHSA National Helpline
Treatment referral & info, 24/7
Trevor Project
LGBTQ+ youth crisis support
Have the real conversation, with a referee.
Online couples therapy with a matched, couples-trained therapist. Same couch optional.
Find Your Best Therapist